that's important. passion. this may seem obvious that presidents can go at healthcare sort of those that try to pass it or with a gusto. obama, w. bush, those presidents were successful because they cannot and gave everything to it. there were other presidents, jimmy carter, george bush the first, eisenhower, these are presidents that while the pursued health care and they didn't understand it, they didn't like it, the kind of push it halfheartedly and they got thwarted every time. this is too complicated and too big to do halfheartedly. so a lesson for national health care, the lesson for any major achievement either go big or go home.